• 2024 Lone Star Leadership Academy Returning Student Application

    2024 Lone Star Leadership Academy Returning Student Application

  • Section 1: Preliminary Information

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    Before beginning, make sure you have the following information:

    • Contact information for an emergency contact (not a parent)
    • Your student's t-shirt size
    • Your student's most recent grade report (picture or electronic file)
    • Your student's health insurance ID card (front and back, picture or electronic file)
    • Credit/Debit card OR checking account and routing numbers

     

  • Before proceeding, please note that Education in Action does not provide transportation to camp on the first day or back home on the last day.

    Parents/Guardians are responsible for providing transportation to and from the following locations:

    Dallas/Fort Worth Program: Keller, TX

    Austin/San Antonio Program: Wimberley, TX

    Houston/Galveston Program: Crosby, TX

    Full details for student drop-off and pick-up will be provided in a welcome packet mailed to you upon registration.

  • Section 2: General Contact Information

  • Student

  • Parent/Guardian 1

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.


  • Parent/Guardian 2

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.


  • Additional Emergency Contact

    Not a parent or guardian.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Consent to Release Information


  • Section 3: Academic Information

  • School

    Please provide the following information based on the 2023-2024 school year.
  • Grade Average Verification

    Grade reports must indicate a B/85 or higher overall grade average and a "satisfactory" or equivalent conduct grade. Students with a conduct grade below "satisfactory" or equivalent will be asked to provide an additional letter of recommendation from an educator.
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  • Section 4: Select a Camp Session

    Final placement will be confirmed via email. Requests to change camp sessions will be honored on a space-available basis through April 27, 2024. After this date, a $65 administrative fee will be required to change camp sessions.
  • Select Location

    Lone Star Leadership Academies are best experienced in the following order: Dallas/Fort Worth, Austin/San Antonio, then Houston/Galveston. Education in Action recommends that all 4th, 5th, and 6th graders sign up for the Dallas/Fort Worth program first so that in the future they will be able to participate in all Lone Star Leadership Academy programs should they desire to do so.
  • Select Week

  • Please select your top three preferred camp sessions below. Please note that selecting only one camp session does not increase the likelihood that you will be placed in that session. Your first choice will be honored if space is available, but providing a second and/or third choice will expedite the processing of your application should your first-choice session be unavailable. Your final placement will be confirmed via email.

  • Section 5: Health Information

  • Temporary Insurance Information

  • Health insurance is required for participation in the Lone Star Leadership Academy. If your student does not currently have health insurance, Education in Action can provide you with information about short-term travel insurance. If you are not able to complete the acknowledgement below, please call our office at 817-562-4957 ext. 104 before proceding.

     


     

     

    LONE STAR LEADERSHIP ACADEMY

    HEALTH INSURANCE ACKNOWLEDGEMENT

    Education in Action requires all Lone Star Leadership Academy participants to have health insurance for the duration of their camp. Education in Action will provide information about a low-cost travel insurance plan which provides emergency medical coverage during the program and meets the requirements of the Lone Star Leadership Academy. You are also welcome to find your own source of coverage.

    Education in Action will email you approximately four weeks prior to the start of your student's camp with instructions for purchasing the travel insurance plan or providing proof of coverage through another source.

  • Acknowledgement

  • Health Insurance

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  • Student Health Information

  • Section 6: Additional Information

  • Section 7: Refund and Fees Policy

  • The completed application must be submitted no later than the Application Deadline and include a credit card/debit card payment, payment authorization form, or a check/money order made payable to Education in Action. If a payment is denied, the postmark or submission date of the payment sent will be voided. For example, if a payment is postmarked or submitted by April 27, 2024 but the payment is denied, the tuition rate will increase from $1,345.00 to $1,445.00 and the remaining balance will be due 15 calendar days prior to the student’s camp session start date. If the $300.00 non-refundable deposit has been paid and the application processed, the deposit amount will not be refunded. After receiving a welcome packet, a $5.00 replacement fee will be required to obtain another copy.


    Student and Parent/Legal Guardian should note that if, after Education in Action has accepted the student’s application, the Parent/Legal Guardian cancels the student’s participation in the Lone Star Leadership Academy, a refund of the tuition already paid minus the $300.00 deposit will be issued provided that notification of cancellation and request for refund is received in writing by Education in Action no later than April 27, 2024. No refund will be made for tuition if the notice of cancellation is received after April 27, 2024; this includes, but is not limited to, cancellation due to illness/injury, inclement weather, and/or lack of transportation.

    Please initial to confirm that you understand the refund policy:   *


    All sponsorship payments must be postmarked to Education in Action no later than 15 calendar days prior to the student’s camp session start date in order to receive reimbursement; no reimbursements for sponsorships will be issued for payments postmarked within 15 calendar days of the student's camp session start date.


    Student and Parent/Legal Guardian should note that all applications are processed strictly in order of receipt and that applications may exceed available space. This is an application for participation and enrollment is contingent on final approval by Education in Action, with whom sole discretion resides. If the application is denied, the application and all monies included will be returned. Education in Action reserves the right to cancel a program before the student’s departure from home, in which case any monies paid to Education in Action will be refunded. Education in Action reserves the right to change or modify a program's itinerary before or after a program is scheduled to begin.


    Student and Parent/Legal Guardian should note that if, after Education in Action has accepted the student’s application, Parent/Legal Guardian changes the student's scheduled camp session for any reason, a $65.00 administrative fee will be charged if the change occurs after April 27, 2024. Camp session changes may be requested up until two Fridays (nine calendar days) prior to the originally scheduled camp session start date and will be honored on a space available basis. Camp session change requests must be provided to Education in Action in writing and must be submitted with the $65.00 payment (if applicable based on date).

    Please initial to confirm that you understand the camp session change fee:   *     


    Student and Parent/Legal Guardian should note that a fee of $60.00 will be assessed if the student has not been picked up within 15 minutes of the published pick-up time on the final day of the program. 

    Please initial to confirm that you understand the late pick-up fee:    *  


    In the event that a program must be rescheduled for any of the following causes: Acts of God or public enemies, civil war, insurrection or riot, fire, flood, explosion, earthquake, serious accident, public health risk, strike, labor dispute, or any cause beyond Education in Action’s reasonable control, the above cancellation policy remains in effect with the exception that the non-refundable deposit will remain on the student’s account for a future program. If the student does not enroll in a future program, the deposit remains non-refundable.


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  • Section 8: Emergency Medical Authorization

  • I do hereby request, authorize, and give permission to Education in Action, or its duly authorized representative, to act on my behalf and in my stead, should my son/daughter complain of being ill, be injured, or require emergency or other medical treatment, including hospitalization, during the Lone Star Leadership Academy. I understand that in the event that my son/daughter complains of being ill, or is injured during the Lone Star Leadership Academy, he/she will be taken to a hospital emergency room and examined by an emergency room physician. If the physician determines that my son/daughter does not require hospitalization but should not continue as a program participant, at the written direction of the physician, my son/daughter will be sent home promptly. I expressly stipulate and agree that I will be solely responsible for all expenses incurred and will release and hold harmless Education in Action, its officers, directors, employees, administrators, agents, successors, and assigns from all claims, demands, damages, actions, or causes of action, present or future, whether known, anticipated or unanticipated, and resulting from, rising out of, or incident to Education in Action’s actions pursuant to this authorization.


    I understand that I will be required to pick up my child in a timely manner in the event that he/she becomes injured or ill and is unable to continue participation in the Lone Star Leadership Academy.


    *   

  • Section 9: Release and Agreement to Program Rules

  • The program participant and Parent/Legal Guardian agree to the following terms:


    In consideration of being accepted as a participant in the Lone Star Leadership Academy, the undersigned Student and undersigned Parent/ Legal Guardian each hereby release and hold harmless Education in Action and its employees and agents from any liability arising out of my participation in said program, and each further agrees to reimburse Education in Action or its employees and agents for any loss, damage, or costs they may incur during said program and that are caused by my participation. Education in Action shall not be liable or responsible for any injury, loss, damage, or delay resulting from any act or neglect of any person or company whose services are retained by Education in Action for the benefit of program participants, including but not limited to, accommodations, restaurants, or transportation companies. Furthermore, Education in Action cannot be held responsible for any act, error, or omission on the part of any program participant or participants.


    I understand that the Lone Star Leadership Academy is a professional program and as such demands the highest standards of behavior. I will conduct myself in a manner that will contribute to a sense of community among all participants and foster an atmosphere of mutual respect. Any student possessing or using drugs or alcohol, violating curfew, leaving the activities of the program, or behaving in any manner inconsistent with Education in Action standards or local, state, or federal statutes will be immediately dismissed from the program. Education in Action follows a zero tolerance policy; there are no second chances. If a student is dismissed from the program for disciplinary reasons or upon advice of a medical doctor, the student’s Parent/Legal Guardian will assume all financial responsibility for returning the student home. No tuition refund will be made.


    I agree my participation entitles me to the standard arrangements and activities offered and/or scheduled by Education in Action, including, but not limited to, housing, meals, charter bus transportation during the program, and educational materials, and that all special arrangements and/or requirements must be independently provided and/or that I must bear the cost of any and all special arrangements and/or requirements outside of the standard activities and arrangements offered by Education in Action.


    For the health and safety of every participating student, Education in Action reserves the right during the entire program to conduct dormitory inspections to ensure student compliance with the stated rules and regulations. While student phone calls are not scheduled throughout the program, parent updates will be provided on Education in Action’s website during the program week. Cell phones and other electronic devices (i.e. smart watches, Bluetooth tracking devices such as Air Tags, digital music players, gaming devices, alarm clocks, laser pointers etc.) are not permitted on the program. This includes the use of cell phones for the sole purpose of taking photos. Digital cameras are permitted. Education in Action posts daily photo updates for parents throughout the program.

    Please initial to confirm that you understand the cell phone/electronics policy:   *   


    Education in Action reserves the right to use, in any or all publications, promotional materials and publicity, basic student information (e.g. name, school, hometown) and further reserves the right to use in all publications, promotional materials, and publicity any photograph, audiotape, videotape, or film in which the student may appear.


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  • Section 10: Authorization

  • Each of the undersigned has carefully read the complete application including the Refund and Fees Policy, Emergency Medical Authorization, and Release and Agreement to Program Rules (including the cell phone and electronics policy), and with full understanding of the terms and refund policy, consents to the participation of the undersigned student in accordance with the standards, rules, and regulations of Education in Action. 


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  • Section 11: Tuition and Deadlines

  • The Lone Star Leadership Academy program tuition is $1,445 and includes:

    • Charter bus transportation throughout the program
    • Breakfast, lunch, and dinner each day (Sunday dinner through Friday breakfast)
    • Lodging
    • All entrance fees
    • Leadership Notebook
    • One educator for every ten students
    • Souvenir program t-shirts
    • Lone Star Leadership Academy backpack
    • Program souvenirs 

     

     

    PAYMENT OPTION

    Pay the non-refundable $300 deposit at the time of application. Balance of $1,145 due 15 calendar days prior to the start of camp.

     

    Please note the full tuition is non-refundable after April 27, 2024.

      

     

    OPTIONAL ADD-ONS

     

    OPTIONAL SOUVENIR CAMP MASCOT STICKER - $4
    Stickers are full-color, approximately  4"x4", and mailed with your welcome packet.

     

    OPTIONAL SOUVENIR SCRAPBOOK CALENDAR - $15
    Calendars are 8.5” x 11” and include group photos from your student’s program. Calendars are mailed in August and make great thank-you gifts for sponsors! 

     

    OPTIONAL LETTERMAN JACKET PATCH - $10
    Patches are red, white, and blue, with black lettering and are mailed with your welcome packet.

     

    OPTIONAL SOUVENIR REUSABLE WATERBOTTLE - $10
    Waterbottles are stainless steel and delivered to students on the first day of camp.

     

    TUITION DISCOUNTS

     

    SIBLING DISCOUNT
    Education in Action offers a 5% discount off the second sibling's tuition (and each sibling thereafter) when two or more siblings participate during the same year (students do not have to attend the same program to qualify). Enter the name of the sibling when prompted to apply the discount. Subject to final approval by Education in Action.

     

     

  • Tuition

  • PLEASE NOTE

    Before confirming your student's camp placement, Education in Action will verify that he/she has a credit on file sufficient to cover the tuition deposit. You will be contacted via email or phone if we have any questions.

  • Optional Items

  • Optional bus transportation departing from/returning to Keller, TX:

    Education in Action provides an optional bus service to transport students to and from the Austin/San Antonio and Houston/Galveston camps. The bus departs from Education in Action's home office in Keller, TX (north of Fort Worth) on Sunday morning and returns to the same location on Friday afternoon.

    Fee: $175 (round-trip) or $115 (one-way)

    Please note:

    • A Lone Star Leadership Academy staff member rides with the students to provide supervision.
    • This is a private charter bus - passengers will consist of Lone Star Leadership Academy students and staff ONLY.
    • A minimum of four riders is required per session. You will receive a confirmation email once the minimum has been met, and Education in Action reserves the right to cancel the optional bus ride and refund your transportation fee if this minimum has not been met by two weeks prior to the start of each camp session.
    • The transportation fee is non-refundable after April 27, 2024.
    • The bus will not wait for students who are late on departure day. If a student misses the bus, they will be responsible for arranging alternative transportation to camp. The transportation fee will not be refunded for students who miss the bus.
       
  • Please initial to confirm you understand that the optional bus ride departs from Keller, TX on the first day of camp and returns to Keller, TX on the last day of camp:   *   

  • Please initial to confirm you understand that the optional bus transportation fee is non-refundable after April 27, 2024. This includes students who miss the bus on departure day for any reason.    *   

  • Please initial to confirm you understand that a minimum of four (4) riders is required and that Education in Action reserves the right to cancel the optional bus ride and refund your transportation fee if this minimum is not met:    *   

  • Please initial to confirm you understand that all tuition discounts are subject to final approval by Education in Action. You will be responsible for the amount of the discount applied today should Education in Action determine that you do not qualify.    *   

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  • Please visit our Payment Forms page to download and complete a One-Time Payment Authorization Form. You may print the form, complete it by hand, and then scan and upload it; or you may complete the form electronically and upload it.

    If you have questions, please contact Ashley Barnes, Director of Admissions, at 817-562-4957 ext. 104 or abarnes@educationinaction.org.

     

     Use the Subtotal amount listed above to complete your form.

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  • Please visit our Payment Forms page to download and complete the "Initial Deposit and Payment Plan Authorization Form". You may print the form, complete it by hand, and then scan and upload it; or you may complete the form electronically and upload it.

    If you have questions, please contact Ashley Barnes, Director of Admissions, at 817-562-4957 ext. 104 or abarnes@educationinaction.org.

     

    Use the following amounts to complete your form:

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  • Please Submit a New Student Application

  •  

    Students who have not previously participated in the Lone Star Leadership Academy should fill out the application for new students:

    www.educationinaction.org/apply

     

    Please call our office with any questions at 817-562-4957.

  • Please Submit a Printed Application

  • We are currently unable to accept online applications for students who are applying for the Donated Lone Star Leadership Academy scholarship.

    Please submit a printed application, available here. Please note that returning students do not need to obtain a new nomination; you may skip the nomination section at the bottom of the first page.

     If you have any questions or are unable to download and/or print the application, please contact us at 817-562-4957 or admissions@educationinaction.org.

    Thank you! We look forward to receiving your application!

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